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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202105282003192

Record Date
5/28/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202105282003192

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
STOUT, DELL

Type
Single

Processed By
COOKP

Status
Approved

Online Test Passed
5/27/2021

Background Check Req?
False

Officiant Residence Address 1
252 W 1480 S

Officiant Residence City
HURRICANE

Officiant Residence State
UTAH

Officiant Residence Zip
84737

Officiant Mailing Address 1
252 W 1480 S

Officiant Mailing City
HURRICANE

Officiant Mailing State
UTAH

Officiant Mailing Zip
84737

Officiant Phone 1
(435) 635-2221

Officiant Email Address
DELLSTOUT@YAHOO.COM

Ceremony Date
6/12/2021

Party 1 Name
FAUMUI JR, FAISIOTA P

Party 2 Name
STOUT, PAIGE

Approved Date
5/28/2021

Certificate Expiration Date
6/13/2021